Since your cough is lingering despite these medications and gargling, it may be due to airway hypersensitivity, post-nasal drip, or even acid reflux rather than an active infection. Please do not worry, as this is quite common. I gently recommend consulting your doctor for a follow-up evaluation. They can listen to your chest and determine if a different approach, such as a targeted inhaler or a change in therapy, is needed.

It is very reassuring that your chest X-ray is normal, as this rules out many serious lung conditions. However, since you are still experiencing breathing difficulty, a cough, and throat tightness despite regularly taking Montemac FX (montelukast and fexofenadine) and Spirodin 650 (doxofylline), your treatment plan may need to be adjusted. These persistent symptoms could indicate airway sensitivity or asthma that might benefit from a different approach, such as an inhaler. Please consult your prescribing doctor or a pulmonologist for a physical evaluation and possible breathing tests. Seek emergency medical care immediately if your breathing difficulty suddenly worsens.

Omalizumab (Xolair) can be very effective for allergic asthma and may also help your eczema. However, because your IgE level is quite high (above 3000 IU/mL), standard dosing charts for omalizumab might not easily fit your needs. Your doctor will carefully evaluate if omalizumab is still the right choice, or if another targeted biologic medication might be safer and more effective for you. Please rest assured that there are wonderful, advanced treatments available to help you breathe easier and feel better.

Montemac FX, which contains fexofenadine and montelukast, is generally safe for daily use over several weeks or months under medical supervision. If your symptoms return after you stop taking it, please don't worry?this is a very common reaction once the medicine's protective effect wears off. I gently advise consulting your doctor rather than restarting it on your own. They can safely evaluate your current symptoms, discuss appropriate long-term management, or suggest lifestyle adjustments to help you find lasting comfort and relief.

You can take a non-drowsy antihistamine, such as cetirizine or fexofenadine, to relieve sneezing and a runny nose. Using a saline nasal rinse in the morning can help clear allergens. For a headache, an over-the-counter pain reliever like paracetamol or ibuprofen may help. Consult a doctor if symptoms persist or worsen.

It is quite common for respiratory symptoms to take more than three days to show significant improvement. Please continue taking your prescribed Augmentin (amoxicillin/clavulanic acid) and Montemac (montelukast) exactly as directed, as completing the antibiotic course is crucial. Stay well-hydrated and rest. If your cough worsens, or if you experience shortness of breath or a high fever, please consult a General Physician or a Pulmonologist (chest specialist) for a physical exam. They can listen to your lungs and determine the best next steps for your recovery.